Combined effectiveness of Maharasnadi Kashaya with Shunti Churna and Matra Basti with Ksheerabala Taila in Janu Sandhigata Vata (Osteoarthritis Knee) : An open label, single arm clinical study

Sandhi Gata Vata is a clinical condition that comes under the heading of Vata Vyadhi where Prakupita Vata affects Sandhi and causes specific signs and symptoms. Lakshanas of Sandhi Gata Vata of Janu Sandhi resembles the signs and symptoms of osteoarthritis of knee. Osteoarthritis of the knee is more commonly found in women than men, and the prevalence increases dramatically with age. The major risk factors associated with osteoarthritis knee joint are old age, obesity, excessive usage of knee joint (occupational), which makes it an important cause of disability. A clinical study was conducted on 31 subjects by administering combination of Maharsnadi Kashaya with Shunti Churna and Matra Basti with Ksheerabala Taila and the results obtained were statistically analysed. Statistically significant reduction in Lakshanas of Janu Sandhi Gata Vata and WOMAC scores were noted

An open label single arm prospective clinical study on Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in Pakshaghata (CVA due to Infarct)

Background: Pakshaghata is one among the 80 vataja nanatmaja vikara and is a roga of madhyama roga marga. Vatavyadhi is considered to be one among the ashta mahagadas. Vatagajankusha rasa is a combination of vyosha, bhasmas, vatsanabha, karkatasringi, haritaki etc. It has vatakaphahara, vikasi, vyavayi, rasayana etc properties. It is said to be effective in treating pakshaghata in 7 days if given along with Pippali churna and Manjishta kwatha. Aims and Objectives: To evaluate the efficacy of Vatagajankusha rasa with Pippali churna and Manjishta kwatha as anupana in the management of pakshaghata (CVA due to infarct). Methodology: Among 32 registered patients, 30 completed the course of treatment. They were administered with Vatagajankusha rasa 1 tablet (125 mg) after food with anupana 3gm Pippali churna and 15 ml Manjishta kwatha twice daily (morning and evening) for a period of 7 days. Nominal & ordinal data were analysed using non parametric tests like McNemar and Wilcoxon’s signed rank tests respectively. Result: There was statistically significant improvement in the primary and secondary outcome measures (p<0.05 was observed). Conclusion: Vatagajankusha rasa with Pippali churna and Manjishta kwatha as anupana is effective in the management of Pakshaghata (CVA due to infarct)

Hypertension Vis-à-Vis Vatavyadhi - A Critical Analysis

Hypertension (HTN or HT), also known as high blood pressure or arterial hypertension, is a chronic medical condition in which the blood pressure in the arteries is persistently elevated. Ranked as the third important risk factor for attributable burden of diseases in South Asia (2010). There are two basic components involved in the physiology of arterial blood pressure-cardiac output and peripheral resistance. Here hypertension has been understood on the grounds of Vatavyadhi and the management of hypertension on the same grounds has been elaborated. This paper throws an insight to the understanding and management of hypertension under the broad spectrum of Vatavyadhi. Also highlights the mode of action of anti-hypertensives on Ayurvedic grounds

An open label single arm prospective clinical study in the management of Pakshaghata (CVA due to infarct) with Maharasnadi Kashaya and Shunti Churna

Pakshaghata is one among 80 Vata Namathmaja Vyadhi. In Pakshaghata vitiated Vata resides in one half of body and causes Vishoshana of Sira and Snayu leading to loosening of joints results into manifestation of symptoms like Cheshta Nivrutti, Ruja and Vakstambha. Pakshaghata can be correlated to stroke or CVA. The study aims to evaluate the combined effectiveness of Maharasnadi Kashaya with Shunti Churna as Anupana in management of Pakshaghata (CVA due to infarct). The open label prospective clinical study was conducted among the 32 patients of Pakshaghata by convenient sampling method at a tertiary Hospital Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital, Hassan, Karnataka from December 2018 to December 2019. The effectiveness of the drug showed improvement in primary outcome measures such as Cheshta Nivrutti, Vakstambha and Ruk in subjects of Pakshaghata with p value < 0.05. In this study, maximum improvement was found in “Ruk” followed by “Cheshta Nivrutti” and then “Vak Stambha”. Hence this drug is more effective in “Saruja Pakshaghata” hence; it showed improvement in the NIH stroke scale parameters with p value < 0.05. The combined effectiveness of Maharasnadi Kashaya with Shunti Churna as Anupana in management of Pakshaghata (CVA due to Infarct) is proved

Critical analysis of Jalodara (Ascites) - A Review

Ascites is a gastroenterological term for an accumulation of fluid in the peritoneal cavity that exceeds 25ml. Ascitic fluid can accumulate as a transudate or an exudate, this is secondary diseases to such as portal hypertention, spontaneous bacterial peritonitis and liver cirrhosis. Hence it is considered as one of the leading cause of death in the developing countries. Here Ascites has been understood as Jalodara. Udara is manifested because of Rasa Dhatu portion which gets extravesated from Kosta, Grahanyadi gets collected in Udara being influenced by Prakupita Vata the disease is called as Jalodara. For Dosha Nirharana Nitya Virechana, and other oral Ayurvedic medications are used as a mode of treatment. This paper throws an insight to the understanding and management of Ascites under the heading of Jalodara and also highlights the role of Nitya Virechana in the management of Jalodara

Critical analysis of Siravyadhana in pain management of Raktavrutavataja Gridhrasi – A Case Study

Gridhrasi is a major and common disease among Vatavyadhis. It is such a condition which hampers the quality of life of individual and affect the day to day activities. Raktaavarana to Vata causes Shoola and Daha in a patient of Gridhrasi. Removing the Raktaavarana should be the prime concern in this case. A case of Raktavrutavataja Gridhrasi treated successfully with Siravyadhana is presented here

An open label single arm prospective clinical study on Vatagajankusharasa with Pippali Churna and Manjishta Kwatha as Anupana in Viswachi (cervical spondylosis)

Background: Viswachi is one among the 80 Nanatmaja Vata Vyadhi. This disease affects the neck and upper extremities with the signs and symptoms like Ruk, Stambha, Toda, Bahu Karmakshaya. Vatagajankusha Rasa is a combination of Vyosha, Bhasmas, Vatsanabha, Karkatasringi, Haritaki etc. It has Vatakaphahara, Vikasi, Vyavayi, Rasayana etc. properties. It is said to be effective in treating Visawachi in 7 days if given along with Pippali Churna and Manjishta Kwatha. Aims and Objectives: To evaluate the efficacy of Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in the management of Viswachi (Cervical spondylosis). Methodology: Among 35 registered patients, 30 completed the course of treatment. They were administered with Vatagajankusha Rasa 1 tablet (125 mg) after food with Anupana 3gm Pippali Churna and 15 ml Manjishta Kwatha twice daily (morning and evening) for a period of 7 days. Nominal & ordinal data were analysed using non parametric tests like McNemar and Wilcoxon’s signed rank tests respectively. Result: Assessment parameters like Ruk, Toda, Sthambha and Bahukarma Kshya. There was statistically significant improvement in the primary and secondary outcome measures (p<0.05 was observed). Conclusion: Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana is effective in the management of Viswachi (Cervical spondylosis)

Ayurvedic Management of Ankylosing Spondylitis - A Case Report

Introduction: Ankylosing Spondylitis (AS) is a sero negative chronic inflammatory arthritis of unknown cause that primarily affects the axial skeleton which usually begins in the second or third decade of life with a male to female ratio of 3:1. The prevalence rate of AS in India is 0.03%. It is clinically correlated to Danda Apatanaka in Ayurveda. It is caused due to the vitiated Vata and Kapha Dosha which enters the Dhamani and causes stiffness of the body. Due to its known complications and its tendency to hamper the quality of life, there is a need for an effective Ayurvedic intervention. This report is based on a case of Ankylosing Spondylitis which presented with pricking pain over nape of the neck and low back associated with stiffness and restricted movements, swelling over nape of neck right shoulder and right side of face, associated with restricted movements of right upper limb. Methods: This case was diagnosed as Danda Apatanaka and was treated with Basti Karma, Abhyanga along with oral medications. Assessment was done before and after treatment using relevant scales. Result: After 2 weeks of treatment pain and swelling over the nape of neck, right shoulder and face resolved completely, pain and stiffness of low back reduced, pain in right upper limb reduced and patient was able to perform normal movements. Stiffness of neck still persisted. Conclusion: Ankylosing spondylitis can be effectively managed by Ayurvedic treatment modalities after proper assessment of the involved Dosha and Dhatus

Boon of Acharya Vagbhata - The Vata Pentad

Vata is one among the Tridoshas that contributes to 80 types of Nanatmaja Vikaras. It can also leads to the manifestation of other disorders where Vata plays the role of an Anubandha Dosha. To understand the Avasthavishesha of any Vyadhi, the contribution of each Doshas should be separately identified. This is possible by knowing the Dosha Vruddhi Kshaya Lakshanas. The first step in the Chikitsa is Nidana Parivarjana. Because the Rogautpatti starts with Nidana Sevana. For this, detailed knowledge about the Prakopa Nidanas are essential. Among the Brihattrayees, Ashtanga Hrudaya of Vagbhataacharya stands unique in explaining the Vishesha Prakopa Nidanas of Panchavata in 19th chapter of Nidanasthana, Vatashonita Nidana. The knowledge about the Vishesha Prakopa Nidana of each Vata throws a clarity about the etiology and pathogenesis of all diseases, especially Vata Vyadhis. This article aims at exploring and analyzing the Vishesha Prakopa Nidanas said by Acharya Vagbhata in Ashtanga Hrudaya

An open label single arm prospective clinical study on Vatagajankusharasa with Pippali Churna and Manjishta Kwatha as Anupana in Gridhrasi (Sciatica)

Background - Low backache is the 2nd most common reason for all physician visits and it is a condition that affects as many as 80-90% of people during their life time.[1] Sciatica is a relatively common condition with a life time incidence varying from 13-40%. Gridhrasi in Ayurveda is a Rujapradhana Nanatmaja Vatavyadhi, which has similar presentation of sciatica intervenes with the functional ability of low back and lower limbs. Vata Gajankusha Rasa is a potent medicinal preparation, which in classics have mentioned can cure severe form of Gridhrasi in a week. The present study is taken up with the hypothesis that Vata Gajankusha Rasa with Manjishta Kwatha and Pippali Churna as Anupana would be effective in the management of Gridhrasi. Objective - To evaluate the effectiveness of Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in the management of Gridhrasi (sciatica). Method - Among 40 registered patients 36 of them completed the course of treatment. They were administered with Vatagajankusha Rasa (125mg) twice daily with Pippali Churna (3grams) and Manjishta Kwatha (15ml) as Anupana before food for a period of 7 days. For stastistical analysis subjective and objective parameters were assessed by Wilcoxon signed rank and McNemar test. Result - In the parameters of Gridhrasi, the medicine was found to be statistically significant in relieving the assessment parameters like Ruk, Toda, Sthambha, Aruchi, Gourava (p<0.001). In Objective parameters like SLR and Lessagues test, significant relief was observed after statistical analysis. Conclusion - Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana is effective in the management of symptoms of Gridhrasi